Error loading player: No playable sources found

IFB4

Government Audits and Investigations: Financial Risk Areas and Building a Proactive Response Team

Date
October 25, 2019

Due to their participation in multiple federal health care programs (such as Section 330 of the Public Health Service Act, Medicaid, and Medicare), health centers are subject to scrutiny from a number of different sources: HRSA’s Division of Financial Integrity, Medicare Administrative Contractors (MACs), CMS’s Unified Program Integrity Contractors (UPIC), State Medicaid Fraud Control Units (MFCUs), and the Office of Inspector General (OIG), just to name a few. Fortunately, there are a number of proactive steps a health center can take to minimize the potential of an audit or investigation taking place or for reducing their scope or duration. This session will address those proactive steps such as establishing an “advance team,” reviewing billing policies and procedures, identifying common risk areas, and conducting self audits. Health centers also need to know how to respond in the event that they receive a notice of an audit or investigation. When a health center has been armed in advance with the knowledge of who should be involved in responding to an audit or investigation, the health center can do a better job of responding in an organized and thoughtful fashion.

Speaker

Speaker Image for Kathy Ghiladi
Partner, Feldesman Tucker Leifer Fidell LLP

Tracks

Related Products

Thumbnail for FQHCs Are Expected to Participate in VBP: Are You Ready?
FQHCs Are Expected to Participate in VBP: Are You Ready?
CMS, State Medicaid programs and commercial payers are getting more aggressive in moving providers from volume to value-based pay (VBP).  Exactly how VBP will be implemented is evolving, particularly for FQHCs, but it does appear to be here to stay…
Thumbnail for Preparing for the Federal Audit of the Future
Preparing for the Federal Audit of the Future
While working to respond to the COVID pandemic, health centers received a tremendous amount of support. This support came in the form of grant funds, provider relief payments, the payroll protection and EIDL loan programs, and other resources…
Thumbnail for The Federal Single Audit Under the Uniform Guidance for CHCs in the New World of CARES Act and American Rescue Plan Funding
The Federal Single Audit Under the Uniform Guidance for CHCs in the New World of CARES Act and American Rescue Plan Funding
Community health centers received an influx of funding from several federal stimulus sources in response to COVID-19 via CARES Act and American Rescue Plan Act Funding…
Thumbnail for 340B Under Attack: A Look at Recent Developments
340B Under Attack: A Look at Recent Developments
1.    Discussion of overall implications of pharmacy issues 2.    Impact of manufacturers on CHCs and the risk to the CHC program as a whole 3.    Strategy for moving forward 4.    Split billing and compliance strategy 5.    Legislative updates 6…

Privacy Policy Update: We value your privacy and want you to understand how your information is being used. To make sure you have current and accurate information about this sites privacy practices please visit the privacy center by clicking here.